6007 ROCKEFELLER AVE 2021-04-01 - Laserfiche WebLink

N PERMIT APPLICATIONS BUILDING ► ECHANICAL / PLUMBING /SIGN / RINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: C.,ct7 /�i�°��'*-E' G r j PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 0(-44-61h�7y►l/1 Jt7SL/f)1'iW TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: C/ STREET (:„; Z:) kr �ke e' frye Eve),- - CITY ) of f STATE q - P�ZIc. 67,,„„.„/. P OWNER PHONE: ZC' .�-?-/ - 2 2 6 OWNER EMAIL: oLCs 7 e ,.., Cg%% CONTRACTOR NAME: e (/2'.?/�'a �} 0 f ja0�l'U/ / CONTRACTOR ADDRESS: STREET`� f--C :- £t7 c4 e 'der /t 1 - p ere7/1/'�_ CITY VO ✓` STATE qZ 2 � ZIP �`'> CONTRACTOR PHONE: ,2-7 '3 I —22C1 CONTRACTOR EMAIL::q L i'-'.Yic Ca/.+7 _ fv?47J(dh; CONTRACTOR LICENSE#(REQ IRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: WNER 0 CONTRACTOR 0 OTHER(Please Specify) / CONTACT NAME:, CONTACT PHONE: 2C`2ly —3 L / — Z 26' C Z% fJ&. tjeAy fid5fj'1)TYh/f CONTACT EMAIL: pcX S e71-)✓,-1 ..Q BUILDING INFORMATION Existing Use of Building:"/i" Contract Price of Work: $ Cr---e-:) Proposed Use of Building: i q- Heat Source: 4d6as ❑Electric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure Type of Project: ❑New ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �ar7 els 2 ,n� / /n9+4 / fro�.-�. �g ater Uf a ASSOCIATED BUILIG PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures A/C-Air Handling Units / Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler / Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) i Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) / Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads. ACKNOWLEDGEMENT:I hay viewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state,and I al law. granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before bei g authorize under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the Stat Contractor Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#_ r r4-- Owner/Authorized Agent Signature Date (Revised 4/15/2019)